Senior Cash Posting & A/R Specialist
Resume:
Carleen John
*******.********@*****.***
Objective: Excellent customer service with extensive experience with medical billing and collections of large companies.
Qualifications:
• Professional customer service with patients, customers, and co-workers.
• 16 years customer service experience
• Excel at multitasking in a fast-paced working environment, and big-time player.
• Excel in completing all projects and deadlines on time.
• Excellent telephone skills, computer skills (Excel, Outlook, Windows) and all follow-ups.
• Fast learner and eager to jump in and learn new things. Personal Experience:
PHI Air Medical, Phoenix, AZ
Senior Cash poster- 08/2024-09/2025
● Provide leadership, cross-training, and general guidance to cash posting team for daily and monthly workload.
● Assist with questions from PFS department and cash posting team for timely resolution and follow up of identified issues.
● Provide leadership and to act as a resource for management to assist, train and provide support to the PFS Billing Staff.
● Applied daily deposits to patient accounts manually and electronically to ensure the payments were correctly applied.
● Deposited incoming mailed checks.
● Wrote off accounts if needed for timely filing and or not medically necessary etc.
● Verified contracted rates were correct in the GE system and compared to EOB’s.
● Researched checks or EFT deposits with no patient information.
● Uploaded any necessary EOB’s in the system for auditing purposes. Acumen Fiscal Agent, Gilbert, AZ
A/R Specialist 4/2020-4/2023
● Handled various aspects of billing and reimbursement, refunds, overpayments, face-to-face collections, and payment processing.
● Conducted manual research and billing for denied claims, ensuring accuracy and completeness.
● Made sure correct authorization and diagnosis codes were attached to claims to prevent denials.
● Imported claims both electronically through Solomon, and manually when unable to process, maintaining data integrity.
● Applied payments, reconciled balances, and ensured accurate financial transactions through EOBs and ERAs.
● Collaborated with other departments to meet end-of-month expectations and support overall operational efficiency.
● Researched all managed care organization Medicaid insurances to ensure billing was done correctly and accurately
Sonora Quest Laboratories, Tempe, AZ
Biller 4/1/13-8/9/18
● Call center biller taking calls/making calls for billing issues or questions.
● Effectively resolved billing discrepancies and concerns, ensuring customer satisfaction.
● Updated Explanation of Benefits (EOBs) with accurate billing information and adjustments.
● Conducted thorough checks and collections for all types of balances, including time-of-service payments, co-pays, and past due amounts.
● Proactively notified patients about outstanding balances, facilitating understanding and resolution.
● Advised of care payment service for financial hardships.
● Scheduled upcoming appointments.
● Triaged patients which consisted of verifying paperwork and insurance.
● Tallying up daily metric
Apria Health Care, Tempe, AZ
Billing 10/31/05-9/25/12
● Managed payment posting, processed refunds and credit balances, and submitted insurance claims efficiently.
● Prepared and submitted appeal letters to insurance providers for denied claims, advocating for reimbursement and resolution.
● Assisted on most complex accounts in obtaining authorization for reimbursement.
● Contacted all Medicare patients to validate information and equipment usage.
● Contacted patients with problematic situations.
● Ensure that all necessary documentation is included in each patient file.
● Worked with patient prescription information into computer to be completed and returned from physician.
● Made sure my work was always done effectively and accurately. Education:
Chinle High School in AZ
Mesa Community College, Mesa AZ
Contact this candidate